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First report of molecular diagnosis of Tunisian hemophiliacs A: Identification of 8 novel causative mutations

Identifieur interne : 000167 ( Main/Exploration ); précédent : 000166; suivant : 000168

First report of molecular diagnosis of Tunisian hemophiliacs A: Identification of 8 novel causative mutations

Auteurs : Hejer Elmahmoudi [Tunisie] ; Houssein Khodjet-El-Khil [Tunisie] ; Edvard Wigren [Suède] ; Asma Jlizi [Tunisie] ; Kaouther Zahra [Tunisie] ; Dorothé Pellechia [France] ; Christine Vinciguerra [France] ; Balkis Meddeb [Tunisie] ; Amel Ben Ammar Elggaaied [Tunisie] ; Emna Gouider [Tunisie]

Source :

RBID : PMC:3487796

Descripteurs français

English descriptors

Abstract

Introduction

Hemophilia A is an X linked recessive hemorrhagic disorder caused by mutations in the F8 gene that lead to qualitative and/or quantitative deficiencies of coagulation factor VIII (FVIII). Molecular diagnosis of hemophilia A is challenging because of the high number of different causative mutations that are distributed throughout the large F8 gene. Molecular studies of these mutations are essential in order to reinforce our understanding of their pathogenic effect responsible for the disorder.

Aim

In this study we have performed molecular analysis of 28 Tunisian hemophilia A patients and analyzed the F8 mutation spectrum.

Methods

We screened the presence of intron 22 and intron 1 inversion in severe hemophilia A patients by southern blotting and polymerase chain reaction (PCR). Detection of point mutations was performed by dHPLC/sequencing of the coding F8 gene region. We predict the potential functional consequences of novel missense mutations with bioinformatics approaches and mapping of their spatial positions on the available FVIII 3D structure.

Results

We identified 23 different mutations in 28 Tunisian hemophilia A patients belonging to 22 unrelated families. The identified mutations included 5 intron 22 inversions, 7 insertions, 4 deletions and 7 substitutions. In total 18 point mutations were identified, of which 9 are located in exon 14, the most mutated exonic sequence in the F8 gene. Among the 23 mutations, 8 are novel and not deposited in the HAMSTeRS database nor described in recently published articles.

Conclusion

The mutation spectrum of Tunisian hemophilia A patients is heterogeneous with the presence of some characteristic features.

Virtual slides

The virtual slide(s) for this article can be found here:

http://www.diagnosticpathology.diagnomx.eu/vs/1693269827490715


Url:
DOI: 10.1186/1746-1596-7-93
PubMed: 22883072
PubMed Central: 3487796


Affiliations:


Links toward previous steps (curation, corpus...)


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<nlm:aff id="I3">Hemophilia Treatment Center, Aziza Othmana Hospital, Tunis, Tunisia</nlm:aff>
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<name sortKey="Vinciguerra, Christine" sort="Vinciguerra, Christine" uniqKey="Vinciguerra C" first="Christine" last="Vinciguerra">Christine Vinciguerra</name>
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<name sortKey="Elggaaied, Amel Ben Ammar" sort="Elggaaied, Amel Ben Ammar" uniqKey="Elggaaied A" first="Amel Ben Ammar" last="Elggaaied">Amel Ben Ammar Elggaaied</name>
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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Blotting, Southern (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Computational Biology (MeSH)</term>
<term>DNA Mutational Analysis (MeSH)</term>
<term>Databases, Genetic (MeSH)</term>
<term>Exons (MeSH)</term>
<term>Factor VIII (chemistry)</term>
<term>Factor VIII (genetics)</term>
<term>Genetic Predisposition to Disease (MeSH)</term>
<term>Hemophilia A (blood)</term>
<term>Hemophilia A (diagnosis)</term>
<term>Hemophilia A (genetics)</term>
<term>Humans (MeSH)</term>
<term>Introns (MeSH)</term>
<term>Models, Molecular (MeSH)</term>
<term>Mutagenesis, Insertional (MeSH)</term>
<term>Mutation (MeSH)</term>
<term>Mutation, Missense (MeSH)</term>
<term>Phenotype (MeSH)</term>
<term>Point Mutation (MeSH)</term>
<term>Polymerase Chain Reaction (MeSH)</term>
<term>Protein Conformation (MeSH)</term>
<term>Sequence Deletion (MeSH)</term>
<term>Sequence Inversion (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Structure-Activity Relationship (MeSH)</term>
<term>Tunisia (epidemiology)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Analyse de mutations d'ADN (MeSH)</term>
<term>Bases de données génétiques (MeSH)</term>
<term>Biologie informatique (MeSH)</term>
<term>Conformation des protéines (MeSH)</term>
<term>Délétion de séquence (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Exons (MeSH)</term>
<term>Facteur VIII (composition chimique)</term>
<term>Facteur VIII (génétique)</term>
<term>Humains (MeSH)</term>
<term>Hémophilie A (diagnostic)</term>
<term>Hémophilie A (génétique)</term>
<term>Hémophilie A (sang)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Introns (MeSH)</term>
<term>Inversion de séquence (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Modèles moléculaires (MeSH)</term>
<term>Mutagenèse par insertion (MeSH)</term>
<term>Mutation (MeSH)</term>
<term>Mutation faux-sens (MeSH)</term>
<term>Mutation ponctuelle (MeSH)</term>
<term>Phénotype (MeSH)</term>
<term>Prédisposition génétique à une maladie (MeSH)</term>
<term>Relation structure-activité (MeSH)</term>
<term>Réaction de polymérisation en chaîne (MeSH)</term>
<term>Technique de Southern (MeSH)</term>
<term>Tunisie (épidémiologie)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Factor VIII</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en">
<term>Factor VIII</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Tunisia</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Hemophilia A</term>
</keywords>
<keywords scheme="MESH" qualifier="composition chimique" xml:lang="fr">
<term>Facteur VIII</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hemophilia A</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Hémophilie A</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Hemophilia A</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Facteur VIII</term>
<term>Hémophilie A</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Hémophilie A</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Tunisie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Blotting, Southern</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Computational Biology</term>
<term>DNA Mutational Analysis</term>
<term>Databases, Genetic</term>
<term>Exons</term>
<term>Genetic Predisposition to Disease</term>
<term>Humans</term>
<term>Introns</term>
<term>Models, Molecular</term>
<term>Mutagenesis, Insertional</term>
<term>Mutation</term>
<term>Mutation, Missense</term>
<term>Phenotype</term>
<term>Point Mutation</term>
<term>Polymerase Chain Reaction</term>
<term>Protein Conformation</term>
<term>Sequence Deletion</term>
<term>Sequence Inversion</term>
<term>Severity of Illness Index</term>
<term>Structure-Activity Relationship</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Analyse de mutations d'ADN</term>
<term>Bases de données génétiques</term>
<term>Biologie informatique</term>
<term>Conformation des protéines</term>
<term>Délétion de séquence</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Exons</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Introns</term>
<term>Inversion de séquence</term>
<term>Jeune adulte</term>
<term>Modèles moléculaires</term>
<term>Mutagenèse par insertion</term>
<term>Mutation</term>
<term>Mutation faux-sens</term>
<term>Mutation ponctuelle</term>
<term>Phénotype</term>
<term>Prédisposition génétique à une maladie</term>
<term>Relation structure-activité</term>
<term>Réaction de polymérisation en chaîne</term>
<term>Technique de Southern</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Tunisie</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Introduction</title>
<p>Hemophilia A is an X linked recessive hemorrhagic disorder caused by mutations in the
<italic>F8</italic>
gene that lead to qualitative and/or quantitative deficiencies of coagulation factor VIII (FVIII). Molecular diagnosis of hemophilia A is challenging because of the high number of different causative mutations that are distributed throughout the large
<italic>F8</italic>
gene. Molecular studies of these mutations are essential in order to reinforce our understanding of their pathogenic effect responsible for the disorder.</p>
</sec>
<sec>
<title>Aim</title>
<p>In this study we have performed molecular analysis of 28 Tunisian hemophilia A patients and analyzed the
<italic>F8</italic>
mutation spectrum.</p>
</sec>
<sec>
<title>Methods</title>
<p>We screened the presence of intron 22 and intron 1 inversion in severe hemophilia A patients by southern blotting and polymerase chain reaction (PCR). Detection of point mutations was performed by dHPLC/sequencing of the coding
<italic>F8</italic>
gene region. We predict the potential functional consequences of novel missense mutations with bioinformatics approaches and mapping of their spatial positions on the available FVIII 3D structure.</p>
</sec>
<sec>
<title>Results</title>
<p>We identified 23 different mutations in 28 Tunisian hemophilia A patients belonging to 22 unrelated families. The identified mutations included 5 intron 22 inversions, 7 insertions, 4 deletions and 7 substitutions. In total 18 point mutations were identified, of which 9 are located in exon 14, the most mutated exonic sequence in the
<italic>F8</italic>
gene. Among the 23 mutations, 8 are novel and not deposited in the HAMSTeRS database nor described in recently published articles.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The mutation spectrum of Tunisian hemophilia A patients is heterogeneous with the presence of some characteristic features.</p>
</sec>
<sec>
<title>Virtual slides</title>
<p>The virtual slide(s) for this article can be found here:</p>
<p>
<ext-link ext-link-type="uri" xlink:href="http://www.diagnosticpathology.diagnomx.eu/vs/1693269827490715">http://www.diagnosticpathology.diagnomx.eu/vs/1693269827490715</ext-link>
</p>
</sec>
</div>
</front>
<back>
<div1 type="bibliography">
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<name sortKey="Vinciguerra, Christine" sort="Vinciguerra, Christine" uniqKey="Vinciguerra C" first="Christine" last="Vinciguerra">Christine Vinciguerra</name>
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:22883072" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a MaghrebDataLibMedV2 

Wicri

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Data generation: Wed Jun 30 18:27:05 2021. Site generation: Wed Jun 30 18:34:21 2021